Individual provider · Type 1 NPI

Jacob Otterness

Mental Health Counselor · Anoka, MN

NPI number 1245684604 Active

Practice location

1833 3rd Ave
Anoka, MN 55303-2424

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1245684604

Jacob Otterness's National Provider Identifier is 1245684604, issued on Apr 21, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anoka, MN. The record was last updated on Apr 21, 2016.